# PHILLIPS & NIEMEYER, D.D.S., P.L.L.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Silverdale Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225122104
- **Authorized official:** JASON NIEMEYER DDS (OWNER/DENTIST)
- **Authorized official phone:** (360) 692-9560

## Contact information

- **Practice address:** 3637 NW BYRON STREET, SILVERDALE, WA 98383
- **Practice address phone:** (360) 692-9560
- **Practice address fax:** (360) 692-1729
- **Mailing address:** 3637 NW BYRON ST, SILVERDALE, WA 98383-9127
- **Mailing address phone:** (360) 692-9560
- **Mailing address fax:** (360) 692-1729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 602181283 | WA | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 03/15/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1083715569 | NPI | WA |
| 01 | — | 1184725657 | NPI | WA |
| 01 | — | 1790886141 | NPI | WA |